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Since the s, psychiatrist Tsoi Wing Foo of Tsoi Clinic has seen about 2, transgender patients. He sees about 20 female-to-male and 10 male-to-female transgender patients a year. To legally change his sex marker on his identity card, he needed to surgically remove his breasts, ovaries and womb. Dr Tsoi says not only is transiting from male to female harder socially but it is also physically challenging. Dr Ho adds that it could be due to the spread of HIV that caused public hospitals to stop providing sex change surgery. She is all about empowering the transgender community, and she plays her part by representing Singapore on multiple platforms. Despite the bullying, she held her ground and stayed true to herself by growing her hair out and dressing like a woman.